Software Engineer, Integrations

We're Scan.com. We're building America's national imaging network: the infrastructure that connects patients, providers, and payers to faster, better-value diagnostic imaging. Thousands of patients move through our platform every day, and each is a real person waiting for an answer to a healthcare concern. We exist to get them that answer faster.

We manage the medical imaging pathway end-to-end. Providers order through a single point of entry, and from there, we run the entire medical diagnostic pathway. Managing the full pathway, rather than brokering pieces of it, is what lets us deliver imaging faster, at higher quality, and at a lower cost than the fragmented status quo.

We're looking for a Software Engineer, Integrations, at an exciting time. We've raised over $200m in funding to date, reached profitability, and are growing 100% year on year.

Millions of people wait too long for a diagnosis. Come help us fix that.

Scan.com's integration layer is mission-critical infrastructure. We interface with hundreds of imaging centers and health systems operating disparate, often decades-old systems — RIS platforms built on legacy protocols, HL7 v2 feeds with idiosyncratic vendor dialects, and hardware gateways running in constrained clinical environments. On the demand side, we connect to modern EHR APIs, third-party referral networks, and portal integrations that must work reliably at scale.

As a Software Engineer, Integrations, you will architect and build the systems that make the demand-side connections robust, observable, and extensible. This problem area requires genuine passion for system integration patterns, message transformation pipelines, and the operational discipline to maintain high-reliability infrastructure in the face of real-world entropy.

As a scale-up business, you can expect your role to develop over time. Here are some of the types of things you could be getting involved in:

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  Build and maintain integration connectors for modern and legacy EHR systems to retrieve physician referrals and relevant patient documentation.

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  Architect a fault-tolerant message queuing and delivery infrastructure for inbound and outbound HL7 and API traffic.

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  Build and maintain REST API integrations with third-party referral sources, attorney platforms, and demand aggregators.

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  Own the observability layer for the integration infrastructure: structured logging, alerting on message processing latency/failures, and dashboards that surface issues before they reach the operations teams.

If we're not growing, we're dying. Everyone needs a bias for action. Speed and momentum, combined with quality execution, propel our business forward.

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  You don't quit on hard problems. Fail fast, dust off, go again.

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  You celebrate wins, then seek the next opportunity.

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  You see it, you fix it. No task is beneath you, at any level.

The company we build is the team we build. If we don't have the right people in the right seats, doing the right things, we will fail.

• Talent recognizes talent. You actively bring quality hires into the business.

• You trust your colleagues to deliver.

• You open-source your knowledge. You're never a single point of failure.

Care enough to have the hard conversations, and don't dwell on them. Don't go up the chain to communicate. Go straight to the person.

• Strong opinions, weakly held. You welcome challenge and feedback.

• You get to the point: direct challenge plus an alternative solution.

• You ask "why". Before calling something bad, understand why it exists.

Push the limits of your understanding and potential and you will be supported to get better.

• You proactively seek feedback, whatever your level.

• You invest in understanding our business: teams, customers, processes.

• You invest in your own growth and are willing to unlearn.

We're a high-performing team with low ego. We hire people who are brilliant and kind, who give it straight, back it up with evidence, and change their mind when the facts change. We'll give you real ownership early, the tools to do the best work of your career, and colleagues who raise your game. In return, we ask for high standards, genuine care for patients and each other, and the drive to leave things better than you found them. If that sounds like you, let’s talk!

We keep our interview process short and sweet, and we're a nimble team that can progress at pace. Here are the stages you can expect, but we might switch up the order of each step depending on team availability:

1. Introductory call/interview with our Senior Talent Partner. The call is via telephone and will last around 30 minutes.

2. Should it feel like there is an initial fit for all, we will invite you to a video call with the hiring manager for around 45 minutes. This is a more structured interview that will deep-dive into the role and technical needs.

3. 'Scan Standard' interview, where our panel screens for values alignment and the success factors that matter at Scan.com. You will also be assessed on your AI fluency at the stage and depth relevant to your role (see AI Requirements above).

4. Meet the founders and/or other team members. Again, length varies depending on how many people and whether in person or via video call.

5. Offer!

Scan.com is committed to eliminating discrimination and encouraging diversity within our team. We strive to provide equality and fairness for all job applicants and employees and never discriminate on the basis of gender, marital status, age, race, ethnicity, religion, or physical differences.

We are opposed to all forms of unlawful treatment and discrimination.

Our ambition is for our team to be representative of society's diversity, and for every employee to feel respected and able to bring their best selves to work.

If you need an accommodation to apply or interview, contact us at people@scan.com.

We look forward to receiving your application!